Healthcare Provider Details

I. General information

NPI: 1841195898
Provider Name (Legal Business Name): LINN KHANT AUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 N WINCHESTER BLVD STE 5
SAN JOSE CA
95128-1150
US

IV. Provider business mailing address

1353 SHORE DR
SAN JOSE CA
95131-4008
US

V. Phone/Fax

Practice location:
  • Phone: 669-400-0070
  • Fax:
Mailing address:
  • Phone: 669-400-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number2709951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: